The Comparisons of Effects of Core Stability Exercise and Tai Chi on Core Muscle Performances in Elderly

Tai Ji Clinical Trial

Official title:

The Comparisons of Effects of Core Stability Exercise and Tai Chi on Core Muscle Performances, Core Stability and Balance in Community-living Elderly

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04887363
• Other study ID #: KMUH-IRB-20120427
• Status: Completed
• Phase: N/A
• Start date: June 3, 2013
• Est. completion date: June 30, 2015

Study information

• Verified date: February 2021
• Source: Kaohsiung Medical University Chung-Ho Memorial Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Core muscles and core stability has a key component in the postural control or balance. However, no clear evidence has been found for the positive relationship between core stability and postural control in the elderly, and the effects of core stabilizing training on postural control or balance in the elderly. The purposes of this project are to investigate the effects of core stability training program on muscle strength, muscle performance, and balance outcomes in elderly adults.

Description:

In this pretest, posttest design study, elderly adults enrolled and assigned to the core exercise group or Tai Chi exercise group, the core exercise group received core exercise intervention comparing to Tai Chi exercise group participated Tai chi exercise program as a control group.

The young adults group were also enrolled for a reference group, not received any exercise intervention and just only received the measurements once.

Participants in the two elderly group will receive 12-week, 36-session exercise-based core stability training class. The each 60 minutes core exercise class focuses on exercise for improving strength, endurance of core muscles and trunk stability.

Participants need complete baseline assessments of muscle performance, and balance ability measures 1 week prior and 1 week and 12 weeks following the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 71
• Est. completion date: June 30, 2015
• Est. primary completion date: June 30, 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 74 Years

Eligibility

Inclusion Criteria:

1. Core exercise group and Tai Chi exercise group

1. healthy community-dwelling older adults (60-74 years old)

2. not received any core stability or Tai Chi Chuan training within the previous 6 months

3. independent in basic daily living activities

4. able to move freely without any assistance

2. Young adults group a. Their age should be ranged between 20 - 59 years

Exclusion Criteria:

All group

1. have a history of orthopedic surgery on spine or lower extremity

2. have any spine pathology (e.g., spondylolisthesis, disc herniation)

3. have a pain over back or lower limbs to affect the ability to perform activities of daily living

4. had a history of vestibular disease (e.g., Meniere' s disease)

Related Conditions & MeSH terms

• Tai Ji

Intervention

Behavioral:
• Core exercise
Participants will receive12-week, 60 minutes, 36-session exercise-based core stability training class. Participants need complete baseline assessments of muscle performance, and balance ability measures 1 week prior and 1 week and 12 weeks following the intervention. All subjects will receive two post-exercise measurements at 13th week and 25th week.
• Tai Chi exercise
Participants will receive 12-week, 60 minutes, 36-session Tai Chi exercise training class. Participants need complete baseline assessments of muscle performance, and balance ability measures 1 week prior and 1 week and 12 weeks following the intervention. All subjects will receive two post-exercise measurements at 13th week and 25th week.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Kaohsiung Medical University Chung-Ho Memorial Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in strength of core muscle groups (trunk) at 12-week	Using a custom-made isometric dynamometer to measure the strength of trunk flexors, extensors and rotators	The assessments will be conducted 1 and 12 weeks following the intervention
Primary	Changes in strength of core muscle groups (hip) at 12-week	Using a hand-held dynamometer to measure the hip muscle strength	The assessments will be conducted 1 and 12 weeks following the intervention
Primary	Changes in endurance of core muscle groups at 12-week	Using the Stabilizer Pressure Biofeedback Unit (PBU) during the leg-loading test to measure the endurance of lumbo-pelvic stability	The assessments will be conducted 1 and 12 weeks following the intervention
Primary	Changes in flexibility of the lower back and hamstring muscles at 12-week	Using the sit and reach test to measure the flexibility of the lower back and hamstring muscles	The assessments will be conducted 1 and 12 weeks following the intervention
Primary	Changes in ability of the dynamic balance at 12-week	Using the Dual-tasking 3m Timed up and go (3m-TUG) to measure dynamic balance and the fall risk. Mean time to perform 3m-TUG is 11.56 seconds	The assessments will be conducted 1 and 12 weeks following the intervention
Primary	Changes in assessment of postural control at 12-week	Using a force plate to collect the center of pressure (COP) displacement	The assessments will be conducted 1 and 12 weeks following the intervention
Primary	Changes in muscle activity of selected core muscles during performing arm-raising tasks at 12-week	Using a surface electromyography to record the muscle activity of abdominal and trunk muscles during performing arms-raising tasks with hand-holding 1.5-2 kg	The assessments will be conducted 1 and 12 weeks following the intervention
Primary	Changes in assessment of postural control during performing arm-raising tasks at 12-week	Using a force plate to collect the center of pressure (COP) displacement during performing arms-raising tasks with hand-holding 1.5-2 kg	The assessments will be conducted 1 and 12 weeks following the intervention